Moving Toward Paying for Outcomes in Medicaid
Author Department
Medicine
Document Type
Article, Peer-reviewed
Publication Date
4-2018
Abstract
Medicaid can improve beneficiary health and help sustain its own future by embracing payment for outcomes. Good precedents exist from states such as Florida, Maryland, Minnesota, New York, Ohio, Pennsylvania, and Texas. Medicaid outcome measures include preventable admissions, readmissions, emergency department visits, and inpatient complications; early elective deliveries; infant and child mortality; patient-reported outcomes, satisfaction, and confidence; and reduction in low-value care. Criteria to prioritize initiatives include potential savings, availability of established models, impact on health status, and Medicaid's ability to effect change. We offer 5 principles for success, emphasizing clinically credible initiatives that generate actionable information for clinicians.
Recommended Citation
Millwee B, Quinn K, Goldfield N. Moving Toward Paying for Outcomes in Medicaid. J Ambul Care Manage. 2018 Apr/Jun;41(2):88-94.
PMID
29474245